| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $48.96 | $48.96 | $48.96 | |
Cigna
| Professional | $31.28 | $48.96 | $61.20 | |
Medica
| Facility | $30.76 | $88.00 | $100.00 | |
Midlands
| Professional | $13.22 | $44.00 | $56.70 | |
Sanford Health Plan
| Professional | $19.70 | $34.64 | $34.64 |